REDBOOK (FEMALE PELVIS ANATOMY) Ch 16

Cardinal ligaments

House the vasculature of the uterus

The right ovarian vein drains directly into the ?

IVC

Piriformis 2

Posterior

The urinary bladder, uterus, and ovaries are located within the?

True pelvis

Space of Retzius

located between the anterior bladder wall and the pubic symphysis; contains extraperitoneal fat

Posterior border of the pelvic cavity is marked by?

the sacrum and coccyx

Rectouterine pouch (posterior Cul-de-sac or Pouch of Douglas)

-located between the rectum and uterus -considered the most dependent part of the peritoneal cavity, making it the most likely place for fluid to collect in the pelvis.

rectus abdominis muscles 2

Anterior

The Space of Retzius is located ?

Between the bladder and pubic bone

Arcuate arteries eventually become the ____?

Radial arteries which supply blood to the deeper layers of the myometrium.

Which is the paired anterior abdominal muscles that extend from the xiphoid process of the sternum to the pubic bone?

Rectus abdominus muscle

The common iliac veins unite___?

at almost the same level as the common iliac artery bifurcation to help form the IVC.

The sonographic pelvic examination of a female pt reveals an extensive amount of ascites. In the transverse plane, you visualize two echogenic structures extending from the side walls of uterus to the pelvic side walls bilaterally. These structures are most likely? The pelvic ligament that extends from the lateral aspect of the uterus to the side walls of the pelvis is the ?

Broad ligaments

Broad ligaments and suspensory ligaments of the ovary are actually____?

Double folds of peritoneum

The common iliac arteries divide into_____?

External and Internal iliac arteries

The boundaries of the female pelvis are considered to be from the?

Iliac crest to a group of muscles known as the pelvic diaphragm, located at the base of the pelvis.

Peritoneal spaces located posterior to the broad ligament are referred to as the?

adnexa

The peripheral arteries of the uterus are the?

arcuate arteries

Branches of the uterine arteries include___?

arcuate arteries which are visualized with Doppler along the lateral aspect of the myometrium.

pelvic muscles appear

hypoechoic

The paired muscles that are located lateral to the uterus and anterior to the iliac crest are the?

iliopsoas muscles

The vagina extends?

inferiorly from the external os of the cervix to the external genitalia, where it is positioned posterior to the urethra.

bony pelvis

the bones mark the boundaries of the pelvic cavity. -sacrum -coccyx -innominate bones

Suspensory ligament of the ovary contains___?

-Ovarian artery -Ovarian vein -Lymphatics -Ovarian nerves

ovarian ligament-supports ovaries

Extends from ovary to lateral surface of the uterus

Round ligaments- supports uterus (fundus)

Extends from uterine cornua to labia majora between the folds of the broad ligaments.

Uterosacral ligament-supports uterus

Extends from uterus to sacrum

The ligaments provide support to the?

Ovaries Uterus Fallopian tubes

The pelvic diaphragm muscles provides support to the?

Pelvic organs

The ligament that houses the vasculature of the uterus is the?

cardinal ligament

spiral arteries

coiled arteries that supply blood to the functional layer or decidual layer of the endometrium.

true pelvis (lesser pelvis)

contains the urinary bladder, small bowel, sigmoid colon, rectum, ovaries, fallopian tubes and uterus.

Pelvic bones, when visualized on sonography, will appear

hyperechoic

The pelvic ligament that provides support to the ovary and extends from the ovary to the lateral surface of the uterus is the?

ovarian ligament

The piriformis muscles or iiliopsoas muscles may be confused for the?

ovaries or adnexal masses

Pelvic bones, when visualized on sonography, will produce?

posterior shadowing

The arteries that directly supply blood to the functional layer of the endometrium are the?

spiral arteries

false pelvis (greater pelvis)

superior portion of the pelvis

The pelvic ligament that provides support to the ovary to the pelvic side wall is the?

suspensory ligament of the ovary

What structure within the female pelvis lies posterior to the urinary bladder and anterior to the rectum?

uterus

The anterior cul-de-sac is also referred to as the ? Fluid noted anterior to the uterus would most likely be located within the?

vesicouterine pouch

The vagina is located ___ to the uterus?

inferior

The ovarian vein ___?

instead of returning blood to the IVC, drains directly into the Left renal vein.

The uterine artery branches off of the?

internal iliac arteries

The pelvic muscle group that is located between the coccyx and the pubis is the ?

levator ani muscles

Nongravid uterus

lies within the midline, posterior to the urinary bladder and anterior to the rectum.

The true pelvis is delineated from the false pelvis by the ?

linia terminalis

Vesicouterine pouch or Anterior Cul-de-sac

located anterior to the uterus and posterior to the urinary bladder.

The muscle located lateral to the ovaries is the?

obturator internus muscle

The ovary is supplied blood by?

ovarian artery and uterine artery

A pt presents to the sonography department with a history of uterine prolapsed what best describes this disorder?

A condition that results from the weakening of the pelvic diaphragm muscles and allows for the displacement of the uterus, often through the vagina.

When surrounded by free fluid the dense broad ligaments may be identified as___?

Echogenic stuctures extending from the lateral borders of the uterus bilaterally.

The uterine arteries supply blood to all of the following except?

Rectum

Radial arteries divide into the ____?

Straight arteries and spiral arteries.

The ovarian arteries originate from the ___?

lateral aspect of the abdominal aorta

The abdominal aorta bifurcates into the ?

left common iliac arteries

The left ovarian vein drains directly into the?

left renal vein

Prolapse of the pelvic organs most often involves the?

levator ani and coccygeus

The innominate bones consist of?

-Ilium -Ischium -Pubic symphysis

Iliopsoas muscles 2

Lateral and anterior to iliac crest

The muscles that may be confused with the ovaries on a pelvic sonogram include the?

piriformis and iliopsoas muscles

What other term is used to describe the space of Retzius?

retropubic space

Pelvic diaphragm (levator ani and coccygeus muscles)

Inferior near the vagina in transverse

The innominate bones of the pelvis consist of the ?

Ischium ilium pubic bones

The bilateral muscles that are located posterior to and extend from the sacrum to the femoral greater trochanter are the?

piriformis muscles

Fluid noted posterior to the uterus would most likely be located within the? What is considered the most dependent part of the peritoneal cavity? Another name for the rectouterine pouch is the ?

pouch of douglas

Which vessels supply blood to the deeper layers of the myometrium?

radial arteries

obturator muscles 2

Lateral to ovaries

A weakening in the_____ could result in _____ of the pelvic organs?

Levator ani muscles prolapse

The right ovarian artery branches off of the?

aorta

Cardinal ligaments-supports cervix

extends from the lateral surface of the cervix to the lateral fornix of vagina

linea termanalis

imaginary line that divides the true and false pelvis

The paired right and left uterine arteries are___?

Branches of the internal iiac arteries, they supply blood to the uterus, fallopian tubes and ovaries and course along the lateral aspect of the uterus within the folds of the broad ligaments.

Broad ligaments-supports uterus, tubes, ovaries

Extends from the lateral aspect of the uterus to the side walls of the pelvis.

suspensory ligament of the ovaries (infundibulopelvic)-supports ovaries and tubes

Extends from the ovaries to the pelvic side walls

Both the straight and spiral arteries are branches of the?

Radial arteries

Abdominal aorta supplies blood to___?

the female genitalia. it branches into the paired common iliac arteries, typically near the umbilicus.